IndividualActive
Melanie Jackson
NPI 1326763863 · Administrator Registered Nurse · Gary, IN
Provider details
- NPI number
- 1326763863
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28276880A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1110 W 5th Ave
Gary, IN 46402-1723
Phone: (219) 885-4264
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2022-10-06
- Certified
- 2022-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.